补肾健脑针法联合悬吊训练治疗脑瘫患儿的效果  

Effects of Bushen Jiannao acupuncture combined with suspension training on children with cerebral palsy

作　　者：赵继红 赵满 ZHAO Jihong;ZHAO Man(Children’s Rehabilitation Center of Women’s and Children’s Hospital of Zhumadian Central Hospital,Zhumadian 537000 Henan,China)

机构地区：[1]驻马店市中心医院妇女儿童医院儿童康复治疗中心,河南驻马店537000

出　　处：《中国民康医学》2023年第17期93-96,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察补肾健脑针法联合悬吊训练治疗脑瘫患儿的效果。方法:选取2019年10月至2021年10月该院收治的70例脑瘫患儿进行前瞻性研究,按随机数字表法将其分为对照组与研究组各35例。对照组采用悬吊训练治疗,研究组在对照组基础上联合补肾健脑针法治疗,比较两组临床疗效,治疗前后Berg平衡量表测试(BBS)、Caroll手功能评定量表、精细运动发育商(FMQ)、日常生活能力量表(ADL)评分和神经电生理指标[P100潜伏期、波幅]水平,以及神经因子[血管内皮生长因子(VEGF)、神经元特异性烯醇化酶(NSE)]水平。结果:研究组治疗总有效率为97.14%(24/35),高于对照组的77.14%(27/35),差异有统计学意义(P<0.05);治疗后,两组BBS评分、Caroll手功能评定量表评分、FMQ评分和ADL评分均高于治疗前,且研究组均高于对照组,差异有统计学意义(P<0.05);治疗后,两组P100潜伏期均短于治疗前,且研究组短于对照组,两组P100波幅均高于治疗前,且研究组高于对照组,差异有统计学意义(P<0.05);两组VEGF、NSE水平均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05)。结论:补肾健脑针法联合悬吊训练治疗脑瘫患儿可有效提高BBS评分、Caroll手功能评定量表评分、FMQ评分和ADL评分,改善神经电生理指标水平,降低神经因子水平,其效果优于单纯悬吊训练治疗。Objective:To observe effects of Bushen Jiannao acupuncture combined with suspension training on children with cerebral palsy.Methods:A prospective study was conducted on 70 children with cerebral palsy admitted to the hospital from October 2019 to October 2021.They were divided into control group and study group according to the random number table method,35 cases in each.The control group was treated with suspension training,while the study group was treated with Bushen Jiannao acupuncture on the basis of that of the control group.The clinical efficacy,the scores of Berg balance scale test(BBS),Caroll hand function rating scale,fine motor development quotient(FMQ)and activity of daily living scale(ADL),the nerve electrophysiological index levels(P100 latency,amplitude),and the nerve factor levels[vascular endothelial growth factor(VEGF),neuron-specific enolase(NSE)]were compared between the two groups before and after the treatment.Results:The total effective rate of treatment in the study group was 97.14%(24/35),which was higher than 77.14%(27/35)in the control group,and the difference was statistically significant(P<0.05).After the treatment,the BBS scores,the Caroll hand function rating scale scores,the FMQ scores and the ADL scores of the two groups were higher than those before the treatment,those of the study group were higher than those of the control group,and the differences were statistically significant(P<0.05).After the treatment,the P100 latencies in both groups were lower than those before the treatment,and that in the study group was lower than that in the control group;the P100 amplitudes in both groups were higher than those before the treatment,and that in the study group was higher than that in the control group;and the differences were statistically significant(P<0.05).Further,the levels of VEGF and NSE in the two groups were lower than those before the treatment,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conc

关 键 词：脑瘫 补肾健脑针法 悬吊训练 神经电生理 日常生活能力 精细运动发育商 

分 类 号：R245.9[医药卫生—针灸推拿学]